title: Videotaped experiments to drop safety behaviors and self-focused attention for patients with social anxiety disorder: do they change subjective and objective evaluations of anxiety and performance?
abstract: Safety behavior (SB) and self-focused attention (SFA) have been posited as important maintenance factors in the cognitive model of social anxiety disorder (SAD). The present study reports the results of experiments to drop SB and SFA among clinically diagnosed patients with SAD employing their own idiosyncratic anxiety-provoking situations. The ratings for observable anxiety, belief in feared outcome and overall performance were better for role plays without SB and SFA than for role plays with them. The degree of drop in SFA predicted drop in observable anxiety and belief in feared outcome. Dropping SB and SFA, however, was unable to completely correct the cognitive distortion because the subjective ratings were still significantly worse than the objective ratings.
authors.affiliation: Department of Psychiatry and Cognitive-Behavioral Medicine, Nagoya City University Graduate School of Medical Sciences, Nagoya, Aichi, Japan. furukawa@med.nagoya-cu.ac.jp
authors.forename: Toshi A
authors.initials: TA
authors.lastname: Furukawa
authors.forename: Junwen
authors.initials: J
authors.lastname: Chen
authors.forename: Norio
authors.initials: N
authors.lastname: Watanabe
authors.forename: Yumi
authors.initials: Y
authors.lastname: Nakano
authors.forename: Tetsuji
authors.initials: T
authors.lastname: Ietsugu
authors.forename: Sei
authors.initials: S
authors.lastname: Ogawa
authors.forename: Tadashi
authors.initials: T
authors.lastname: Funayama
authors.forename: Yumiko
authors.initials: Y
authors.lastname: Noda
mesh_terms: D000293:Adolescent; D000328:Adult; D014151:Anti-Anxiety Agents / Q000627:therapeutic use; D000928:Antidepressive Agents / Q000627:therapeutic use; D001288:Attention / Q000502:physiology*; D003071:Cognition / Q000502:physiology; D015928:Cognitive Behavioral Therapy; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010698:Phobic Disorders / Q000175:diagnosis / Q000523:psychology*; D011569:Psychiatric Status Rating Scales; D011597:Psychomotor Performance / Q000502:physiology*; D012381:Role Playing; D012449:Safety; D012649:Self Concept; D012931:Social Environment; D014743:Videotape Recording; D055815:Young Adult
chemical_list: D014151:Anti-Anxiety Agents; D000928:Antidepressive Agents